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Contact Information

SHANE A FULTON, CNA , MD
6131 N 16TH ST APT D204
PHOENIX, AZ85016-1711
 Phone: 623-986-6877
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for SHANE A FULTON · (Female)

NPI # 1932734803
Status Active
Credentials CNA , MD
Entity Individual
Enumeration date 03/11/2020
Last updated 11/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # CNA1000056885
  • AZ Other NONE NONE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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